Dicky Beach Surf Life Saving Club
JAC Committee/Auxiliary Positions
Nomination Form
Nominations:
Nominations for the JAC Committee and auxiliary positions are to be received by the JAC
Secretary in writing at least 14 days prior to the JAC Annual General Meeting, the
nomination to be signed by the member, the member’s nominator and seconder.
If no written nominations are received, nominations will be taken from the floor. Should
written nominations be received for each position, no nominations will be taken from the
floor.
To be eligible to serve on the Committee you must:
Be an adult and be a financial member of the Club;
Meet the Australian Charities and Not-for-profits Commission (ACNC) Responsible Peron’s
requirements and sign the declaration herein;
Agree to abide by and uphold the SLSQ Governance Standards and participate in
opportunities to increase my understanding of not-for-profit governance and compliance
including attending governance training provided by the Club and SLSQ;
Not be a bankrupt or one who has compounded with their creditors or otherwise taken
advantage of the laws in force for the time being relating to bankruptcy;
Not be a person who is a patient within the meaning of the Mental Health Act 1974 or;
Have been convicted of an indictable offence or of an offence punishable on summary
conviction for which the person is sentenced to imprisonment otherwise than in default of
payment of a fine.
Have a current positive notice Blue Card for child related activities;
Agree to abide by the Committee Code of Conduct & any other policies of the Association;
and
Voting:
Voting will take place at the Annual General Meeting. For positions, where more than one
nomination is received, voting will be by secret ballot.
Dicky Beach Surf Life Saving Club
JAC Committee/Auxiliary Positions
Nomination Form
JAC Committee/Auxiliary Position Nomination Form
To nominate for a position on the Committee, you must reply to the JAC Secretary by 4
March 2017 via scanning, faxing, posting or handing directly to the JAC Secretary a signed
copy of the nomination form.
I wish to nominate for the position of:
 Junior Activities Chairperson
 Junior Activities Vice Chairperson
 Junior Activities Treasurer
 Junior Activities Secretary
 Junior Activities Registrar
 Junior Activities Operations Manager
 Junior Activities Team Manager
 Junior Activities Junior Team Manager
 Junior Activities Apparel Officer
 Junior Activities Water Safety Coordinator
 Junior Activities Registrar
 Junior Activities Gear and Equipment Officer
 Junior Activities Fundraiser
 Junior Activities Age Manager (please State Age
Group below for season 2017/18).
 Canteen Convenor
I hereby confirm I am able to meet all the conditions stated in the Notice of Annual General
Meeting and therefore eligible to serve on the Club’s Committee.
Nominee (full name):
Nominated By:…………………………..Seconded By:…………………………………
Applicable Experience or any other details you want the candidate to provide (place below)
Notice
The Dicky Beach Surf Life Saving Club Inc. wishes to advise all potential nominees that its
holds Public Liability Insurance to the amount of $20 million dollars.
Dicky Beach Surf Life Saving Club
JAC Committee/Auxiliary Positions
Nomination Form
DECLARATIONS
In applying for the above position, I make freely make the following defalcations: I declare that I am the holder of a current positive notice Blue Card and have attached a
copy of such to this Nomination form (must be supplied at the time of submitting for
nomination to be accepted. Any delays in receiving the proof of positive will delay the
recording of a valid nomination being received).
I also declare that


I am not disqualified from managing a corporation, within the meaning of the
Corporations Act 2001 (Cth) and
I have not been disqualified by the Australian Charities and Not-for-profits
Commission at any time during the previous year from being a responsible person
(what the ACNC Act calls a ‘responsible entities’ under the ACNC Act.
Declared at:
………………………………………………
………………………………………………
Date
………………………………………………
Signature:
………………………………………………
Name:
……………………………………………..
OFFICE USE ONLY
Financial membership verified current carried out by: ________________ / /2017
Proof of Blue Card Positive Notice / Exemption sighted by: ________________ / /2017
Search of ASIC and ACNC Disqualified Persons registers carried out by:
________________ / /2017